Big Pharma is one those phrases where I deduct points from the assumed IQ I believe someone to have. Because even though there are legitimate horrible stuff that the Pharmaceutical Industry has actually done, people who use the phrase "Big Pharma" tend to be about the "They're giving us Autism via flu shots!" nonsense, rather than, y'know, the massive price-gouging and all the skeeviness that led to the opioid epidemic.